McCullough Hospital uses a job-order costing system to assign costs to its patients. Its direct materials include a variety of items such as pharmaceutical drugs, heart valves, artificial hips, and pacemakers. Its direct labor costs (e.g., surgeons, anesthesiologists, radiologists, and nurses) associated with specific surgical procedures and tests are traced to individual patients. All other costs, such as depreciation of medical equipment, insurance, utilities, incidental medical supplies, and the labor costs associated with around-the-clock monitoring of patients are treated as overhead costs. Historically, McCullough has used one predetermined overhead rate based on the number of patientdays (each night that a patient spends in the hospital counts as one patient-day) to allocate overhead costs to patients. For the most recent period, this predetermined rate was based on three estimates—fixed overhead costs of $17,440,000, variable overhead costs of $110 per patient-day, and a denominator volume of 20,000 patient-days. Recently a member of the hospital’s accounting staff has suggested using two predetermined overhead rates (allocated based on the number of patient-days) to improve the accuracy of the costs allocated to patients. The first overhead rate would include all overhead costs within the Intensive Care Unit (ICU) and the second overhead rate would include all Other overhead costs. Information pertaining to these two cost pools and two of the hospital’s patients—Patient A and Patient B—is provided below:     ICU Other Total Estimated number of patient-days 2,000 18,000 20,000 Estimated fixed overhead cost $ 3,224,000 $ 14,216,000 $ 17,440,000 Estimated variable overhead cost per patient-day $ 236 $ 96       Patient A Patient B Direct materials $ 5,100 $ 6,800 Direct labor $ 26,500 $ 37,200 Total number of patient-days (including ICU) 14 21 Number of patient-days spent in ICU 0 7   Required (see below for hints, if needed):   1.Assuming McCullough continues to use only one predetermined overhead rate, calculate: The predetermined overhead rate. The total cost, including direct materials, direct labor, and applied overhead, assigned to Patient A and Patient B. 2. Assuming McCullough calculates two overhead rates as recommended by the staff accountant, calculate: The ICU and Other overhead rates. The total cost, including direct materials, direct labor, and applied overhead, assigned to Patient A and Patient B. (Round "Predetermined overhead rate" to 2 decimal places. Round other intermediate calculations and final answers to the nearest dollar amount.)   Predetermined overhead rate   per patient-day Total cost for patient A     Total cost for patient B     Predetermined ICU overhead rate   per patient-day Predetermined Other overhead rate   per patient-day Total cost for patient A     Total cost for patient B               Hints:    Part 1a: In the numerator of your POHR, make sure to include each department's fixed overhead and each department's variable overhead (you will have to calculate each department's total variable overhead).  (See the video solution for Example 2-3, part a to walk through this type of calculation.)   Part 2a: Make sure to include each department's variable and fixed overhead in your calculation.  (See the video solution for Example 2-3, part d to walk through this type of calculation.)   Part 2b: Make sure to keep in mind that the table lists 'total patient days (including ICU days)' and 'ICU' days for each patient.  So you need to subtract the ICU days from the total days to get each patient's non-ICU days when assigning overhead for 'other' activities.

Managerial Accounting
15th Edition
ISBN:9781337912020
Author:Carl Warren, Ph.d. Cma William B. Tayler
Publisher:Carl Warren, Ph.d. Cma William B. Tayler
Chapter4: Activity-based Costing
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McCullough Hospital uses a job-order costing system to assign costs to its patients. Its direct materials include a variety of items such as pharmaceutical drugs, heart valves, artificial hips, and pacemakers. Its direct labor costs (e.g., surgeons, anesthesiologists, radiologists, and nurses) associated with specific surgical procedures and tests are traced to individual patients. All other costs, such as depreciation of medical equipment, insurance, utilities, incidental medical supplies, and the labor costs associated with around-the-clock monitoring of patients are treated as overhead costs.

Historically, McCullough has used one predetermined overhead rate based on the number of patientdays (each night that a patient spends in the hospital counts as one patient-day) to allocate overhead costs to patients. For the most recent period, this predetermined rate was based on three estimates—fixed overhead costs of $17,440,000, variable overhead costs of $110 per patient-day, and a denominator volume of 20,000 patient-days.

Recently a member of the hospital’s accounting staff has suggested using two predetermined overhead rates (allocated based on the number of patient-days) to improve the accuracy of the costs allocated to patients. The first overhead rate would include all overhead costs within the Intensive Care Unit (ICU) and the second overhead rate would include all Other overhead costs. Information pertaining to these two cost pools and two of the hospital’s patients—Patient A and Patient B—is provided below:

 

  ICU Other Total
Estimated number of patient-days 2,000 18,000 20,000
Estimated fixed overhead cost $ 3,224,000 $ 14,216,000 $ 17,440,000
Estimated variable overhead cost per patient-day $ 236 $ 96  

 

  Patient A Patient B
Direct materials $ 5,100 $ 6,800
Direct labor $ 26,500 $ 37,200
Total number of patient-days (including ICU) 14 21
Number of patient-days spent in ICU 0 7

 

Required (see below for hints, if needed):

 

1.Assuming McCullough continues to use only one predetermined overhead rate, calculate:

  1. The predetermined overhead rate.
  2. The total cost, including direct materials, direct labor, and applied overhead, assigned to Patient A and Patient B.

2. Assuming McCullough calculates two overhead rates as recommended by the staff accountant, calculate:

  1. The ICU and Other overhead rates.
  2. The total cost, including direct materials, direct labor, and applied overhead, assigned to Patient A and Patient B.

(Round "Predetermined overhead rate" to 2 decimal places. Round other intermediate calculations and final answers to the nearest dollar amount.)

 

Predetermined overhead rate   per patient-day
Total cost for patient A    

Total cost for patient B

   
Predetermined ICU overhead rate   per patient-day
Predetermined Other overhead rate   per patient-day
Total cost for patient A    
Total cost for patient B    

 

 

 

 

 

Hints: 

 

Part 1a: In the numerator of your POHR, make sure to include each department's fixed overhead and each department's variable overhead (you will have to calculate each department's total variable overhead).  (See the video solution for Example 2-3, part a to walk through this type of calculation.)

 

Part 2a: Make sure to include each department's variable and fixed overhead in your calculation.  (See the video solution for Example 2-3, part d to walk through this type of calculation.)

 

Part 2b: Make sure to keep in mind that the table lists 'total patient days (including ICU days)' and 'ICU' days for each patient.  So you need to subtract the ICU days from the total days to get each patient's non-ICU days when assigning overhead for 'other' activities.

 
 
 
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